Ahip stuvia - Study guides, Class notes & Summaries

Stuvia--ahip-module-3-questions-and-answers-verified-answer-2022 questions and answers(2023) (verified answers)

Ahip Fraud Waste & Abuse Questions and Answers 100% Accurate Ahip Fraud Waste & Abuse Questions and Answers 100% Accurate Ahip Fraud Waste & Abuse Questions and Answers 100% Accurate

Stuvia--ahip-module-1-questions-and-answers-verified-answer-2022 questions and answers(2023) (verified answers)

Types of Medicare Advantage Plans - ANSWERPPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans - ANSWERServe both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan - ANSWERType of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part ...

Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan you represent and simply give you a check to cover his premiums for the entire year. What should you tell him? - ANSWER-He will need to mail in his payment with his enrollment form. Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll in the plan and enroll in a stand-alone prescription drug plan. What should y...

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Stuvia--ahip-module-4-questions-and-answers-verified-answer-2022

As a result of violations of ACA Section 1557 nondiscrimination rules, - ANSWERSa health plan may revoke an agent or broker's appointment with the health plan. Which of the following statements best describes Section 1557 of the Affordable Care Act (ACA)? - ANSWERSSection 1557 incorporates earlier civil rights protections in regard to race, color, national origin, disability, age and sex. Under ACA Section 1557, a health plan premium sold through a state exchange may, based on an individu...

Stuvia--ahip-final-exam-2022-practice-test-200-questions-and-answers-100-correct- questions with correct answers 100% verified

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - ANSWERSFraud Which of the following is NOT potentially a penalty for violation of a law or regulation prohibiting Fraud, Waste, and Abuse (FWA)? - ANSWERSDeportation A person comes to your pharmacy to drop off a prescription for a beneficiary who is a "regular" customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantit...